a case of mixed dust pneumoconiosis with desquamative interstitial pneumonia-like reaction in an aluminum welder
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ID: 222652
2017
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Abstract
A 60-year-old man presented with an 18-month history of gradually worsening cough and a 12-month history of dyspnea on exertion. High-resolution computed tomography showed bilateral uniform ground grass opacity in the lower lung fields, partially resolved by smoking cessation. A tentative diagnosis of desquamative interstitial pneumonia (DIP) was made. Video-assisted thoracic surgery was performed and pathological analysis showed peribronchiolar fibrosis with intra-alveolar macrophage infiltration. Elemental analysis detected aluminum and iron in the upper lobe and only iron in the lower lobe. Thus, a definitive diagnosis of mixed dust pneumoconiosis with DIP-like reaction was made. DIP-like reaction is known to be a reactive change caused by exposure to tobacco smoke as well as by inhalation of inorganic particles. Obtaining a detailed medical history including occupational and environmental risk factors is important to distinguish cases of DIP-like reaction due to exposure to inorganic particles from the usual cases related to smoking, and thus provide suitable treatment.
| Reference Key |
iijima2017respiratorya
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|---|---|
| Authors | ;Yuki Iijima;Masashi Bando;Hideaki Yamasawa;Hiroshi Moriyama;Tamiko Takemura;Toshiro Niki;Yukihiko Sugiyama |
| Journal | current treatment options in cardiovascular medicine |
| Year | 2017 |
| DOI |
10.1016/j.rmcr.2017.02.002
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| URL | |
| Keywords | Keywords not found |
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